23130_GLINN, BERAISE_19990715

CAMA AND DREDGE AND FILL
GENERAL
NTO 23130 -"(
PERM i T
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
I' N Phone Number
App (cant ame
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH ✓ y(-c_.,.�7'� (!. C_ i (SCALE: )
—J
Pier (dock) length — r
�1
Groin length
i
number F`;,t� •�.,_��', � ' `; _�.r�
Bulkhead length
��-� -1.•�t L,Z � � .�.i, •" `` :l ijj 1 a.-�-:�•, i _ _mot' -`-' _.. ,
max. distance offshore
Basin, channel dimensions %) !
Lt l� �`l lC.l `' i �;: I'1 ."Y• .ti _.. �. " ( '1'.,l'tii :.tea ��. j �'.
cubic yards
I t
Boat ramp dimensions l \
OtherAk
�..�, -• "�
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local .
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
i
applicant's signature
permit officer's signature
issuing date j expiration date
attachments
application fee `' ^ 3�C�n CL i

JACK GLINN 56-265/412 ISE L. GLINNCZP 1304183 3 4 71
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WARREN, OHIO 44483 DATE
PAYTHE
ORDERER OF
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JUL-02-1999 FRI 09:29 AM NC DIV OF COASTAL MGMNT FAX NO. 2522473330 P. 03
it 17611135
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OW -TER NOTIFICATION/WAIVER FORM
Name of Individual applying for
Address of Property:
(Lot or Streit #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has describpfi`-�et me as shown on the attachcd drawing the development
they are proposing. A description or t awing, with dimensions, should be provided with this
letter.
-1 have no objections to this proposal_
1f you have objections to what k being proposed, please write the Division of Coa%W
Mafiagemen4 Hestrtmn Pkw 11, 151-B, Hwy, 24, Morehead City, NC, 28557 or cah (252) 808-
2808 %4d n 10 d4ys of receipt of this notice. No response is considered the same as no objection
if you have been nolifaed by CertUj'ed Mail.
WAIVER. �XCTION
I understand that a pier, dock, mooring pilings, water, boat hftse, lift or sandbAi Lust be
set back a minimum distance of IS' flrom my area at Hpartan access unless waived by I<tit. (If you
wish to waive the setback, you must initial the appropriate blank bolow.)
I do wish to waive the 15400ek requirement.
I do not wish to waive the 15' setback requirement.
attire Date
Print Name
Telephone Number With Area Code

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PROTERIL
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' JUL-02-1999 FRI 09:28 AM NO DIV OF COASTAL MGMNT FAX NO. 2522473330 P. 02
[0101 r a 4 1 al. 1117).; 1t,JZ,a I 0 3 D111" 11
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of
(r.Ot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property, The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
L----- I have no objections to this proposal.
If You have objections to what is being proposed, please write the Division of Coastal
Management, Hesteon Plaza Il, lSY-n, Hwy. 24, Morehead City, NC, 28S57 or call (252) 808-
2808 within 10 days of receipt Of this notice. No response is considered the saute as no objection
if you have been not}fled by Certified Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of IS' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
t� I do not wish to waive the 15' setback requirement.
I
/� 1
Si ature �C) / Date
Print Name
Telephone Number With Area Code

7
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PROPERTY LINE, SMA jO FRQM-FAM1 , St7E OF PROPQ 1
C;ONSIRUCT UN i C)C AM
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Signatures
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TeleplioneA
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